Research Output
The Woman-Centeredness of Various Dutch Maternity Service Providers During Antenatal and Postnatal Care
To examine the woman-centeredness of maternity care providers from the woman's perspective. To investigate the validity and reliability of the Client Centered Care Questionnaire among a childbearing population.

A cross-sectional study.

The self-report Client Centered Care Questionnaire was administered to evaluate women's one-on-one antenatal and postnatal care appointments with various Dutch care providers: community and hospital-based midwives, General Practitioners, (registrar) obstetricians, sonographers, and maternity care nurses.

Eight-hundred and fifteen completed questionnaires were received. Exploratory and confirmatory factor analyses provided support for a two-factor model, with an acceptable model fit. Woman-centeredness of all maternity care providers showed scores above baseline for the neutral value. Welch ANOVA showed a statistical significant effect of the type of maternity care practitioner in providing woman-centered care during antenatal and postnatal visits (F(5.8) = 7.79). The Bonferroni post hoc test showed that women assigned significantly higher woman-centered care scores to community-based midwives compared with hospital-based midwives (p .011) and compared with registrars/obstetricians (p < .001).

Although overall scores of perceived woman-centeredness indicated a good to excellent performance of woman-centered care, with significantly higher scores for community-based midwives, it cannot be assumed that current woman-centered care completely meets the needs of Dutch childbearing women. The Client Centered Care Questionnaire (CCCQ) is an adequate instrument to measure woman-centered care in antenatal and postnatal maternity services. Further research regarding measuring woman-centered care is needed.

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  • Date:

    23 December 2019

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  • Publisher

    Springer Publishing Company

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  • Funders:

    Historic Funder (pre-Worktribe)


Fontein-Kuipers, Y., van Beeck, E., Kammeraat, L., & Rutten, F. (2019). The Woman-Centeredness of Various Dutch Maternity Service Providers During Antenatal and Postnatal Care. International Journal of Childbirth, 9(2), 92-101.



woman-centered care; client centered care questionnaire; antenatal care; postnatal care

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